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  1. Using pictograms to assist caregivers in liquid medication administration: a systematic review
    Chan HK, Hassali MA, Lim CJ, Saleem F, Tan WL
    J Clin Pharm Ther, 2015 Jun;40(3):266-72.
    PMID: 25865563 DOI: 10.1111/jcpt.12272
    WHAT IS KNOWN AND OBJECTIVE: It has been reported that more than 80% of out-of-hospital medication errors among the young children involve liquid formulations. The usefulness of pictorial aids to improve communication of medication instructions has not been extensively investigated for child health. The objective of this study was to determine the effectiveness of pictorial aids used to assist caregivers in the administration of liquid medications.
    METHODS: MEDLINE, CINAHL, PsycINFO, ScienceDirect, Scopus and the Cochrane Library were searched for articles published up to February 2015. Studies that used pictorial aids with liquid medications and measured at least one of the following outcomes were included: dosing accuracy, comprehension of medication instructions, recall of information and adherence of caregivers. Two authors independently selected studies, extracted data and assessed methodological quality of studies using the Cochrane Collaboration's tool.
    RESULTS AND DISCUSSION: Five experimental studies (four hospital based and one community based) with a total of 962 participants were included. A wide range of liquid formulations were studied, including both prescription and over-the-counter medications. The existing findings suggest that pictographic interventions reduced dosing errors, enhanced comprehension and recall of medication instructions and improved adherence of caregivers. Incorporating pictorial aids into verbal medication counselling or text-based instructions was more beneficial than using the single approach alone. Mixed results were identified for the relationship between health literacy of caregivers and effectiveness of pictorial aids.
    WHAT IS NEW AND CONCLUSION: The evidence remains limited due to the small number of studies found and variations in methodological quality. This review suggests that pictorial aids might be potential interventions, but more high-quality studies are needed to support the routine use of any pictogram-based materials with liquid medications in the clinical settings.
    KEYWORDS: caregivers; graphics; health literacy; medication adherence; medication errors; paediatrics
    Matched MeSH terms: Patient Education as Topic/methods*; Health Communication/methods*
  2. Fulltext Evaluation of digital clubbing
    Chan CW
    Aust Fam Physician, 2015 Mar;44(3):113-6.
    PMID: 25770575
    Matched MeSH terms: Diagnostic Imaging/methods*; General Practice/methods*
  3. Application of locally available materials for the treatment of organic polluted water
    Salim MR, Othman F, Imtiaj Ali M, Patterson J, Hardy T
    Water Sci Technol, 2002;46(9):339-46.
    PMID: 12448487
    Several types of water treatment technologies including adsorption are now being used to treat polluted water. In this paper the removal of phenol by adsorption will be discussed. Activated carbons are successfully applied for purification of potable water and the removal of organic pollutants in wastwater. This paper is concerned with a low cost approach to treating waste water that is significant especially for those countries where oil palm is an available agricultural product like Malaysia, Ivory Coast, Nigeria, Thailand, Papua New Guinea. In the coastal region coconut is an available agricultural product and activated carbon prepared using coconut shell is also an economical method of water treatment. The materials used in this study were Commercial Activated Carbon (CAC), prepared from coconut shell and Modified Oil Palm Shell (MOPAS) of 1 to 2 mm diameters. The surface area of CAC and MOPAS was 38.5 m2/g and 38.2 m2/g respectively and the iodine number was determined as 674 and 454 for CAC and MOPAS, respectively. From the study the result shows above 70% removal efficiency for 5 mg/L and 40% removal efficiency for 20 mg/L of phenol solution. The performance efficiency will be discussed based on batch test, following Freundlich adsorption isotherm. The results indicate that CAC exhibits a higher adsorptive capacity (Kf of 0.079) as compared to MOPAS (Kf of 0.048). Hence a better removal efficiency for CAC at lower concentration of phenol. Results from column tests show a better adsorptive capacity for CAC (2.73) as compared to MOPAS (2.48).
    Matched MeSH terms: Waste Disposal, Fluid/methods*; Water Purification/methods*
  4. Identification from a bitemark in a wad of chewing gum
    Nambiar P, Carson G, Taylor JA, Brown KA
    J Forensic Odontostomatol, 2001 Jun;19(1):5-8.
    PMID: 11494677
    A wad of used chewing gum recovered from the scene of a burglary contained impressions of human teeth. Casts of these impressions displayed unique morphological characteristics which were found to show concordance with corresponding features present on casts of the posterior teeth of a suspect.
    Matched MeSH terms: Forensic Dentistry/methods*; Forensic Anthropology/methods
  5. Evaluating the quality of images produced by soft X-ray units
    Bradley DA, Wong CS, Ng KH
    Appl Radiat Isot, 2000 9 26;53(4-5):691-7.
    PMID: 11003508
    For broad-beam soft X-ray sources, assessment of the quality of image produced by such units is made complex by the low penetration capabilities of the radiation. In the present study we have tested the utility of several types of test tool, some of which have been fabricated by us, as part of an effort to evaluate several key image defining parameters. These include the film characteristic, focal-spot size, image resolution and detail detectability. The two sources of X-rays used in present studies were the University of Malaya flash X-ray device (UMFX1) and a more conventional soft X-ray tube (Softex, Tokyo), the latter operating at peak accelerating potentials of 20 kVp. We have established, for thin objects, that both systems produce images of comparable quality and, in particular, objects can be resolved down to better than 45 microm.
    Matched MeSH terms: Radiographic Image Enhancement/methods*; Radiography/methods
  6. Lensed optical fiber sensors for on-line measurement of flow
    Ibrahim S, Green RG, Dutton K, Abdul Rahim R
    ISA Trans, 2002 Jan;41(1):13-8.
    PMID: 12014798
    This paper describes a system using lensed optical fiber sensors that are arranged in the form of two orthogonal projections. The sensors are placed around a process vessel for upstream and downstream measurements. The purpose of the system is for on-line monitoring of particles and droplets being conveyed by a fluid. The lenses were constructed using a custom heating fixture. The fixture enables the lenses to be constructed with similar radii resulting in identical characteristics with minimum differences in transmitted intensity and emission angle. By collimating radiation from two halogen bulbs, radiation can be obtained by the sensors with radiation intensity related to the nature of the media. Each sensor interrogates a finite section of the measurement section. Each sensor provides a view. Parallel sensors provide a projection. Signal processing is carried out on the measured data in the time and frequency domains to investigate the latent information present in the flow signals.
    Matched MeSH terms: Fiber Optic Technology/methods; Rheology/methods*
  7. Determination of polymorphic forms of ranitidine-HCl by DRIFTS and XRPD
    Agatonovic-Kustrin S, Rades T, Wu V, Saville D, Tucker IG
    J Pharm Biomed Anal, 2001 Jul;25(5-6):741-50.
    PMID: 11377056
    The identification, characterization and quantification of crystal forms are becoming increasingly important within the pharmaceutical industry. A combination of different physical analytical techniques is usually necessary for this task. In this work solid-state techniques, diffuse reflectance infrared Fourier transform spectroscopy (DRIFTS) and X-ray powder diffractometry (XRPD) were combined to analyze polymorphic purity of crystalline ranitidine-HCl, an antiulcer drug, H2 receptor antagonists. A series of 12 different mixtures of Form 1 and 2 was prepared by geometric mixing and their DRIFT spectra and XRD powder patterns were obtained and analyzed, either alone or combined together, using Artificial Neural Networks (ANNs). A standard feed-forward network, with back-propagation rule and with multi layer perceptron architecture (MPL) was chosen. A working range of 1.0-100% (w/w) of crystal Form 2 in Form 1 was established with a minimum quantifiable level (MQL) of 5.2% and limit of detection of 1.5% (w/w). The results demonstrate that DRIFTS combined with XRPD may be successfully used to distinguish between the ranitidine-HCl polymorphs and to quantify the composition of binary mixtures of the two.
    Matched MeSH terms: X-Ray Diffraction/methods*; Spectroscopy, Fourier Transform Infrared/methods*
  8. Estimation of breast radiation dose in a mammographic system
    Lee KH, Kandaiya S
    Appl Radiat Isot, 1996 Mar;47(3):361-3.
    PMID: 8935969
    Matched MeSH terms: Mammography/methods*; Radiometry/methods*
  9. Fulltext Fibreoptic intubation--a case series and brief review
    Tan I, Wang CY
    Med J Malaysia, 1993 Jun;48(2):200-6.
    PMID: 8350796
    Fibreoptic intubation has been established as a major advance in the management of difficult or failed intubation in the awake patient. If necessary, it may be performed under general anaesthesia with either spontaneous or controlled ventilation. This should be considered early in the management of failed intubation, before multiple attempts with other techniques lead to haemorrhage and oedema in the airway. We describe here selected case reports to illustrate this in 8 different situations. This is followed by a brief review of the technique and indications of fibreoptic intubation.
    Matched MeSH terms: Anesthesia, General/methods; Intubation, Intratracheal/methods*
  10. Fulltext Future impact of molecular biology and biotechnology on bacterial and viral diseases
    Pang T
    Med J Malaysia, 1993 Jun;48(2):101-6.
    PMID: 8350782
    The advent of recombinant DNA technology has already made a significant impact on various aspects related to the basic understanding of pathogenic mechanisms in infectious diseases, as well as practical applications related to diagnostics and prevention. The present paper discusses recent technological innovations and increased analytical capabilities which promise to have an even more significant impact on the control of viral and bacterial diseases.
    Matched MeSH terms: Molecular Biology/methods; Medical Laboratory Science/methods
  11. Communication and implementation of change in crop protection
    Escalada MM, Heong KL
    Ciba Found. Symp., 1993;177:191-202; discussion 202-7.
    PMID: 8149821
    The slow adoption of integrated pest management (IPM) has been attributed to the widespread gaps in farmers' knowledge of rational pest management. Other factors such as farmers' perception of high input use and promotion of pesticides also influence decisions to practise rational pest management. To bridge these gaps and improve farmers' pest management practices, most IPM implementation programmes rely on communication strategies. These communication approaches utilize either mass media or interpersonal channels or a combination. The choice of which communication approach to employ depends on project objectives and resources. Among extension and communication approaches used in crop protection, strategic extension campaigns, farmer field schools and farmer participatory research stand out in their ability to bring about significant changes in farmers' pest management practices. While extension campaigns have greater reach, farmer participation and experiential learning achieve more impact because learning effects are sustained. Communication media are important in raising awareness and creating a demand for IPM information but interpersonal channels and group methods such as the farmer field school and farmer participatory research are essential to accomplish the tasks of discovery and experiential learning of IPM skills.
    Matched MeSH terms: Agriculture/methods*; Pest Control/methods*
  12. Fulltext In situ hybridisation: principles and applications
    Looi LM, Cheah PL
    Malays J Pathol, 1992 Dec;14(2):69-76.
    PMID: 1304627
    In situ hybridisation (ISH) is based on the complementary pairing of labelled DNA or RNA probes with normal or abnormal nucleic acid sequences in intact chromosomes, cells or tissue sections. Compared with other molecular biology techniques applicable to anatomical pathology, ISH enjoys better rapport with histopathologists because of its similarity to immunohistochemistry. It has the unique advantage over other molecular biology techniques--largely based on probe hybridisation with nucleic acid extracted from homogenised tissue samples--of allowing localisation and visualisation of target nucleic acid sequences within morphologically identifiable cells or cellular structures. Probes for ISH may bear radioactive or non-radioactive labels. Isotopic probes (3H, 32P, 35S, 125I) are generally more sensitive than non-isotopic ones but are less stable, require longer processing times and stringent disposal methods. Numerous non-isotopic labels have been used; of these biotin and digoxigenin are the reporters of choice. Optimised non-isotopic systems of equivalent sensitivity to those which use radioactive-labelled probes have been described. In ISH, finding the optimal balance between good morphological preservation of cells and strong hybridisation signals is crucial. Tissue fixation and retention of cytoskeletal structures, unfortunately, impede diffusion of probes into tissues. ISH sensitivity is also influenced by inherent properties of the probe and hybridisation conditions. Although ISH is largely a research tool, it is already making strong inroads into diagnostic histopathology. It has been applied for the detection of various infective agents particularly CMV, HPV, HIV, JC virus, B19 parvovirus, HSV-1, EBV, HBV, hepatitis delta virus, Chlamydia trachomatis, salmonella and mycoplasma in tissue sections.(ABSTRACT TRUNCATED AT 250 WORDS)
    Matched MeSH terms: Tissue Fixation/methods*; In Situ Hybridization/methods*
  13. Multicriteria evaluation of simulated logging scenarios in a tropical rain forest
    Huth A, Drechsler M, Köhler P
    J Environ Manage, 2004 Jul;71(4):321-33.
    PMID: 15217720
    Forest growth models are useful tools for investigating the long-term impacts of logging. In this paper, the results of the rain forest growth model FORMIND were assessed by a multicriteria decision analysis. The main processes covered by FORMIND include tree growth, mortality, regeneration and competition. Tree growth is calculated based on a carbon balance approach. Trees compete for light and space; dying large trees fall down and create gaps in the forest. Sixty-four different logging scenarios for an initially undisturbed forest stand at Deramakot (Malaysia) were simulated. The scenarios differ regarding the logging cycle, logging method, cutting limit and logging intensity. We characterise the impacts with four criteria describing the yield, canopy opening and changes in species composition. Multicriteria decision analysis was used for the first time to evaluate the scenarios and identify the efficient ones. Our results plainly show that reduced-impact logging scenarios are more 'efficient' than the others, since in these scenarios forest damage is minimised without significantly reducing yield. Nevertheless, there is a trade-off between yield and achieving a desired ecological state of logged forest; the ecological state of the logged forests can only be improved by reducing yields and enlarging the logging cycles. Our study also demonstrates that high cutting limits or low logging intensities cannot compensate for the high level of damage caused by conventional logging techniques.
    Matched MeSH terms: Conservation of Natural Resources/methods*; Forestry/methods*
  14. A simple technique of intra-uterine transfusion of foetus in University Hospital, Kuala Lumpur
    Kwi NK, Hing NK
    Med J Malaysia, 1974 Jun;28(4):287-9.
    PMID: 4278824
    Matched MeSH terms: Blood Transfusion, Intrauterine/methods*; Fluoroscopy/methods
  15. The retrospect and prospect of the applications of biotechnology in Phoenix dactylifera L
    Gantait S, El-Dawayati MM, Panigrahi J, Labrooy C, Verma SK
    Appl Microbiol Biotechnol, 2018 Oct;102(19):8229-8259.
    PMID: 30054703 DOI: 10.1007/s00253-018-9232-x
    Date palm (Phoenix dactylifera L.) is one of the most important fruit trees that contribute a major part to the economy of Middle East and North African countries. It is quintessentially called "tree of life" owing to its resilience to adverse climatic conditions, along with manifold nutritional-cum-medicinal attributes that comes from its fruits and other plant parts. Being a tree with such immense utility, it has gained substantial attention of tree breeders for its genetic advancement via in vitro biotechnological interventions. Herein, an extensive review of biotechnological research advances in date palm has been consolidated as one of the major research achievements during the past two decades. This article compares the different biotechnological techniques used in this species such as: tissue and organ culture, bioreactor-mediated large-scale propagation, cell suspension culture, embryogenic culture, protoplast culture, conservation (for short- and long-term) of germplasms, in vitro mutagenesis, in vitro selection against biotic and abiotic stresses, secondary metabolite production in vitro, and genetic transformation. This review provides an insight on crop improvement and breeding programs for improved yield and quality fruits; besides, it would undeniably facilitate the tissue culture-based research on date palm for accelerated propagation and enhanced production of quality planting materials, along with conservation and exchange of germplasms, and genetic engineering. In addition, the unexplored research methodologies and major bottlenecks identified in this review should be contemplated on in near future.
    Matched MeSH terms: Biotechnology/methods; Cell Culture Techniques/methods
  16. Fulltext Using Kahoot! as a formative assessment tool in medical education: a phenomenological study
    Ismail MA, Ahmad A, Mohammad JA, Fakri NMRM, Nor MZM, Pa MNM
    BMC Med Educ, 2019 Jun 25;19(1):230.
    PMID: 31238926 DOI: 10.1186/s12909-019-1658-z
    BACKGROUND: Gamification is an increasingly common phenomenon in education. It is a technique to facilitate formative assessment and to promote student learning. It has been shown to be more effective than traditional methods. This phenomenological study was conducted to explore the advantages of gamification through the use of the Kahoot! platform for formative assessment in medical education.

    METHODS: This study employed a phenomenological design. Five focus groups were conducted with medical students who had participated in several Kahoot! sessions.

    RESULTS: Thirty-six categories and nine sub-themes emerged from the focus group discussions. They were grouped into three themes: attractive learning tool, learning guidance and source of motivation.

    CONCLUSIONS: The results suggest that Kahoot! sessions motivate students to study, to determine the subject matter that needs to be studied and to be aware of what they have learned. Thus, the platform is a promising tool for formative assessment in medical education.

    Matched MeSH terms: Education, Medical, Undergraduate/methods*; Educational Measurement/methods*
  17. Current state of green reduction strategies: Solution-processed reduced graphene oxide for healthcare biodetection
    Taniselass S, Md Arshad MK, Gopinath SCB
    Mater Sci Eng C Mater Biol Appl, 2019 Mar;96:904-914.
    PMID: 30606604 DOI: 10.1016/j.msec.2018.11.062
    Reduction of graphene oxide becomes an alternative way to produce a scalable graphene and the resulting nanomaterial namely reduced graphene oxide (rGO) has been utilized in a wide range of potential applications. In this article, the level of green reduction strategies, especially the solution-based reduction methods are overviewed based on recent progression, to get insights towards biomedical applications. The degrees of gaining tips with the solution-based green reduction methods, conditions, complexity and the resulting rGO characteristics have been elucidated comparatively. Moreover, the application of greenly produced rGO in electrochemical biosensors has been elucidated as well as their electrical performance in term of linear range and limit of detections for various healthcare biological analytes. In addition, the characterization scheme for graphene-based materials and the analyses on the reduction especially for the solution-based green reduction methods are outlined for the future endeavours.
    Matched MeSH terms: Biosensing Techniques/methods*; Electrochemical Techniques/methods*
  18. Sensor-Based mHealth Authentication for Real-Time Remote Healthcare Monitoring System: A Multilayer Systematic Review
    Shuwandy ML, Zaidan BB, Zaidan AA, Albahri AS
    J Med Syst, 2019 Jan 06;43(2):33.
    PMID: 30612191 DOI: 10.1007/s10916-018-1149-5
    The new and groundbreaking real-time remote healthcare monitoring system on sensor-based mobile health (mHealth) authentication in telemedicine has considerably bounded and dispersed communication components. mHealth, an attractive part in telemedicine architecture, plays an imperative role in patient security and privacy and adapts different sensing technologies through many built-in sensors. This study aims to improve sensor-based defence and attack mechanisms to ensure patient privacy in client side when using mHealth. Thus, a multilayer taxonomy was conducted to attain the goal of this study. Within the first layer, real-time remote monitoring studies based on sensor technology for telemedicine application were reviewed and analysed to examine these technologies and provide researchers with a clear vision of security- and privacy-based sensors in the telemedicine area. An extensive search was conducted to find articles about security and privacy issues, review related applications comprehensively and establish the coherent taxonomy of these articles. ScienceDirect, IEEE Xplore and Web of Science databases were investigated for articles on mHealth in telemedicine-based sensor. A total of 3064 papers were collected from 2007 to 2017. The retrieved articles were filtered according to the security and privacy of sensor-based telemedicine applications. A total of 19 articles were selected and classified into two categories. The first category, 57.89% (n = 11/19), included survey on telemedicine articles and their applications. The second category, 42.1% (n = 8/19), included articles contributed to the three-tiered architecture of telemedicine. The collected studies improved the essential need to add another taxonomy layer and review the sensor-based smartphone authentication studies. This map matching for both taxonomies was developed for this study to investigate sensor field comprehensively and gain access to novel risks and benefits of the mHealth security in telemedicine application. The literature on sensor-based smartphones in the second layer of our taxonomy was analysed and reviewed. A total of 599 papers were collected from 2007 to 2017. In this layer, we obtained a final set of 81 articles classified into three categories. The first category of the articles [86.41% (n = 70/81)], where sensor-based smartphones were examined by utilising orientation sensors for user authentication, was used. The second category [7.40% (n = 6/81)] included attack articles, which were not intensively included in our literature analysis. The third category [8.64% (n = 7/81)] included 'other' articles. Factors were considered to understand fully the various contextual aspects of the field in published studies. The characteristics included the motivation and challenges related to sensor-based authentication of smartphones encountered by researchers and the recommendations to strengthen this critical area of research. Finally, many studies on the sensor-based smartphone in the second layer have focused on enhancing accurate authentication because sensor-based smartphones require sensors that could authentically secure mHealth.
    Matched MeSH terms: Telemedicine/methods*; Remote Sensing Technology/methods*
  19. Heteroatom-doped magnetic hydrochar to remove post-transition and transition metals from water: Synthesis, characterization, and adsorption studies
    Khan MA, Alqadami AA, Otero M, Siddiqui MR, Alothman ZA, Alsohaimi I, et al.
    Chemosphere, 2019 Mar;218:1089-1099.
    PMID: 30609488 DOI: 10.1016/j.chemosphere.2018.11.210
    Efforts to improve water quality have led to the development of green and sustainable water treatment approaches. Herein, nitrogen-doped magnetized hydrochar (mSBHC-N) was synthesized, characterized, and used for the removal of post-transition and transition heavy metals, viz. Pb2+ and Cd2+ from aqueous environment. mSBHC-N was found to be mesoporous (BET surface area - 62.5 m2/g) and paramagnetic (saturation magnetization - 44 emu/g). Both, FT-IR (with peaks at 577, 1065, 1609 and 3440 cm-1 corresponding to Fe - O stretching vibrations, C - N stretching, N - H in-plane deformation and stretching) and XPS analyses (with peaks at 284.4, 400, 530, 710 eV due to C 1s, N 1s, O 1s, and Fe 2p) confirmed the presence of oxygen and nitrogen containing functional groups on mSBHC-N. The adsorption of Pb2+ and Cd2+ was governed by oxygen and nitrogen functionalities through electrostatic and co-ordination forces. 75-80% of Pb2+ and Cd2+ adsorption at Co: 25 mg/L, either from deionized water or humic acid solution was accomplished within 15 min. The data was fitted to pseudo-second-order kinetic and Langmuir isotherm models, with maximum monolayer adsorption capacities being 323 and 357 mg/g for Cd2+and Pb2+ at 318 K, respectively. Maximum Cd2+ (82.6%) and Pb2+ (78.7%) were eluted with 0.01 M HCl, simultaneously allowing minimum iron leaching (2.73%) from mSBHC-N. In conclusion, the study may provide a novel, economical, and clean route to utilize agro-waste, such as sugarcane bagasse (SB), for aquatic environment remediation.
    Matched MeSH terms: Magnetics/methods*; Water Purification/methods*
  20. Wavelet-based time series model to improve the forecast accuracy of PM10 concentrations in Peninsular Malaysia
    Yong NK, Awang N
    Environ Monit Assess, 2019 Jan 11;191(2):64.
    PMID: 30635772 DOI: 10.1007/s10661-019-7209-6
    This study presents the use of a wavelet-based time series model to forecast the daily average particulate matter with an aerodynamic diameter of less than 10 μm (PM10) in Peninsular Malaysia. The highlight of this study is the use of a discrete wavelet transform (DWT) in order to improve the forecast accuracy. The DWT was applied to convert the highly variable PM10 series into more stable approximations and details sub-series, and the ARIMA-GARCH time series models were developed for each sub-series. Two different forecast periods, one was during normal days, while the other was during haze episodes, were designed to justify the usefulness of DWT. The models' performance was evaluated by four indices, namely root mean square error, mean absolute percentage error, probability of detection and false alarm rate. The results showed that the model incorporated with DWT yielded more accurate forecasts than the conventional method without DWT for both the forecast periods, and the improvement was more prominent for the period during the haze episodes.
    Matched MeSH terms: Environmental Monitoring/methods*; Forecasting/methods*
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